Individual
DR. STEPHEN SCOTT GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
201 DARTMOUTH DR SE, ALBUQUERQUE, NM 87106-2219
(505) 265-9656
(505) 265-0296
Mailing address
201 DARTMOUTH DR SE, ALBUQUERQUE, NM 87106-2219
(505) 265-9656
(595) 265-0296
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
722
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275607426
TYPE 2 NPI
NM
Enumeration date
05/15/2008
Last updated
05/15/2008
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